National Provider Identifier
Theresa Miyashita, PHD, ATC
Theresa Miyashita, PHD, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Buffalo, NY and a listed phone number of (716) 812-8276.
Profile Overview
- NPI
- 1215567342
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- January 16, 2020
- Last Updated
- January 16, 2020
Practice Location
- 598 Lafayette Ave Unit 207
- Buffalo, NY 14222-1481
Phone: (716) 812-8276
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1215567342
- Entity Type
- Individual
- Last Name
- Miyashita
- First Name
- Theresa
- Name Prefix
- Dr.
- Credential
- PHD, ATC
- Mailing Street Address
- 598 Lafayette Ave Unit 207
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14222-1481
- Mailing Country
- US
- Mailing Phone
- (716) 812-8276
- Practice Street Address
- 598 Lafayette Ave Unit 207
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14222-1481
- Practice Country
- US
- Practice Phone
- (716) 812-8276
- Enumeration Date
- January 16, 2020
- Last Updated
- January 16, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 16, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)